UPAYA PENINGKATAN ANGKA KELENGKAPAN CATATAN PENERIMAAN PESAN MEDIS PADA UNIT KEPERAWATAN RSI UNISMA MALANG

Abstract

The purpose of this study is to identify the root of the problems that make RSI Unisma Malang
Nursing Unit has not been able to achieve the standard of Medical Message Receipt Records
completion, and to find alternative solutions that can be applied to overcome the problems. The type
of this research is descriptive qualitative. The research data is qualitative data obtained using 3
methods of data collection, that is interview, observation, and documentation. Research data were
analyzed using Fishbone diagram and USG method. The results show that the main root of the
problem at RSI Unisma Malang is the SOP factor that is less relevant to the implementation. The
most appropriate solution to overcome this problem is to revise the SOP of patient acceptance
recording, followed by SPO resocialization, and monitoring of SPO implementation.